[Response if the Three Mainstay Treatments for Chronic Inflammatory Demyelinating Polyradiculoneuropathy Are Ineffective or Insufficient].

Q3 Medicine Brain and Nerve Pub Date : 2025-01-01 DOI:10.11477/mf.188160960770010049
Yukio Takeshita
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Abstract

The effectiveness of chronic inflammatory demyelinating polyneuropathy (CIDP) treatment is difficult to evaluate based on disease characteristics and treatment methods. The first basic concept of CIDP treatment is "to prevent undertreatment due to inadequate treatment and not overlook patients who can be saved." The second concept is "to prevent overtreatment by unnecessary treatment and discontinue excessive therapy for patients." The evaluation of CIDP treatment requires a treatment period of at least six months. For CIDP pathology and nerve regeneration mechanisms, the response should be divided into four evaluation criteria; marked improvement, no effect, and insufficient effect (slight improvement or no change).

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[慢性炎症性脱髓鞘性多根神经病变的三种主要治疗方法无效或不足的反应]。
慢性炎症性脱髓鞘性多神经病变(CIDP)的治疗效果由于疾病特点和治疗方法的不同而难以评价。CIDP治疗的第一个基本概念是“防止因治疗不足而导致治疗不足,不忽视可以挽救的患者”。第二个概念是“防止不必要的过度治疗,停止对患者的过度治疗”。CIDP治疗的评估需要至少6个月的治疗期。对于CIDP的病理和神经再生机制,反应应分为四个评价标准;改善明显、无效果、效果不充分(改善轻微或无变化)。
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Brain and Nerve
Brain and Nerve Medicine-Neurology (clinical)
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